retained intraspinal bullet: a rare case in a visitor to malaysia - a case report
;MH Ariffin;Noreen F;Nor Hamdan Y;Shaharuddin A R;Azmi B
acta universitatis danubius: oeconomica2012Vol. 6pp. 45-47
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ariffin2012malaysianretained
Abstract
Firearm injuries to the spine commonly present with acute neurology caused by direct penetration or indirectly from concussive effects of bullet impact on the vertebral column. We report a case of delayed neurologic presentation of retained intra-spinal bullet in a 42 year-old African who had chronic low back pain and sciatica with a past history of gunshot injury to the spine and radiograph revealed a bullet at the L4-5 disc level. Intra-operative exploration showed a fibrous mass around the bullet compressing on the L4 existing nerve root and L5 traversing nerve root. Removal of the retained bullet resulted in a good clinical outcome with complete resolution of symptoms.